Birth Class Registration
At Birth Boot Camp our goal is to help you prepare for an amazing birth, breastfeeding, and newborn care experience! All classes meet in Grapevine, TX and cost $375 per couple.

If you have any questions, don't hesitate to reach out! Give me a call at (682) 514-9150 or email me at
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Select Class: *
Mom's First & Last Name: *
Partner's First & Last Name:
Address: *
Email: *
Phone Number: *
Mom's Age: *
Estimated Due Date: *
Name of Birth Place: *
Name of OB or Midwife: *
Name of Doula (if applicable):
Is this your first baby? *
Please briefly describe any previous births (if applicable):
What are your goals for this birth? *
Are there any special circumstances or concerns about this pregnancy or birth? *
How did you hear about Birth Boot Camp? *
How did you hear about me? *
**Class space is limited. A complete registration form and non-refundable deposit of $50 are required to guarantee your spot in class. The remaining non-refundable balance is due at the first class. *
Thank you! After your registration is received you will get an email confirmation with payment information. I look forward to seeing you in class!
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